Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 61327 | GA |
N | 207R00000X | Internist | 61327 | GA |
N | 111NI0900X | Internist | 61327 | GA |
NPI | 1134336068 |
---|---|
Provider Name | Dr. Alan Redding |
First Address | Atlanta, GA 30327-2100 |
Second Address | Atlanta, GA 30327-2100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 29/08/2011 |